EASTSIDE ACTIVE LIVING LLC
NPI 1215323118
Assisted Living Facility - Assisted Living, Mental Illness in Hollywood, FL

Q: What is Eastside Active Living LLC's NPI number?

The NPI number for Eastside Active Living LLC is 1215323118. It was assigned to this organization in the NPPES registry on April 8, 2015.

Q: What is Eastside Active Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since April 08, 2015

1600 TAFT ST, HOLLYWOOD, FL 33020(954) 923-5057(954) 927-7794 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eastside Active Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE ACTIVE LIVING LLC (NPI 1215323118) is a healthcare organization registered as an assisted living, mental illness in Hollywood, Florida and active in the NPI registry since April 2015. The organization lists Moses Syhead, Manager, as its authorized official.

NPPES Registry Identity

NPI1215323118

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameEASTSIDE ACTIVE LIVING LLC

Location Address1600 TAFT STHollywood, FL 33020-3272

Mailing Address1600 Taft StHollywood, FL 33020-3272 · (954) 923-5057 · Fax (954) 927-7794

Phone(954) 923-5057

Fax(954) 927-7794

Organization SubpartNo

Authorized OfficialMoses SyheadManager · (954) 362-3487

Enumeration DateApril 8, 2015

Last NPPES UpdateMay 23, 2016

✔ NPI 1215323118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · AL12023

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1600 TAFT ST, Hollywood, FL 33020

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVA PALMS ALF INC

Assisted Living Facility

1600 TAFT ST, ALF UNIT
HOLLYWOOD, FL 33020

Broward County (954) 362-3487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Active Living LLC's NPI number?

The NPI number for Eastside Active Living LLC is 1215323118. It was assigned to this organization in the NPPES registry on April 8, 2015.

Where is Eastside Active Living LLC located?

Eastside Active Living LLC is located at 1600 Taft St, Hollywood, FL 33020. The listed phone number is (954) 923-5057.

What is Eastside Active Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Eastside Active Living LLC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.